CONSTANCE LEE BALLEM LEACH CRNP
NPI 1548280381
Nurse Practitioner - Family in Philadelphia, PA

Q: What is Constance Ballem Leach's NPI number?

The NPI number for Constance Ballem Leach is 1548280381. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Constance Ballem Leach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since July 21, 2006PECOS Enrolled

850 N 11TH ST, PHILADELPHIA, PA 19123(215) 769-1100 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2024, Apr 12, 2024 (2 updates tracked since 2024).

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About Constance Lee Ballem Leach Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONSTANCE LEE BALLEM LEACH CRNP (NPI 1548280381) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP007552) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1548280381

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCONSTANCE LEE BALLEM LEACHCredential: CRNP

Location Address850 N 11TH STPhiladelphia, PA 19123-1957

Mailing Address135 E Lehigh AvePhiladelphia, PA 19125-1011 · (215) 425-5400 · Fax (215) 425-0918

Phone(215) 769-1100

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJuly 21, 2006

Last NPPES UpdateApril 22, 20242 updates tracked since enumeration

NPPES CertifiedApril 22, 2024

✔ NPI 1548280381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP007552

850 N 11TH ST, Philadelphia, PA 19123

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Secondary Practice Location 1

Location 12724 N 5th StPhiladelphia, PA 19133-2701 · Phone (215) 739-8777 · Fax (215) 739-9016

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Constance Lee Ballem Leach Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527029891

PECOS Enrollment IDI20041020000538

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA MCGRATH C.R.N.P.

Nurse Practitioner